Options PCS.pdf - osse

SCHOOL HEALTH PROFILE FORM
Section 1: School Profile
Type of School:
LEA Name:
School Name:
Public Charter School
Options Options
Options PCS
Street Address 1375 E Street NE Washington, DC 20002
Does your school curently have a website?
If yes, what is your school's website address?
Yes
optionsschool.org
Current number of students enrolled: 365
Grades Served (select all that apply
PS
2
6
10
PK
3
7
11
K
4
8
12
1
5
9
Adult
Other
Contact Name:
Michelle Pianim
Contact Job Title
Principal
Contact Email:
mpianim@optionsschool.org
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 2: Health Services page 2
What type of nurse coverage does your school have?
Full Time
How many school nurses are available at your school?
One
Name of School Nurse 1: Andella Smith, R.N. School Nurse 1 Phone (202) 547-1028
School Nurse 1 E-mail: asmith@optionsschool.org Suite/Room Location: Nurse
School Nurse 1 Credentials:
RN
Name of School Nurse 2:
School Nurse 2 E-mail:
School Nurse 2 Phone
Suite/Room Location:
School Nurse 2 Credentials:
Does your school currently have a school-based health center?
Yes
Does your school currently have a School Mental Health Program or similar services on site for students?
Yes
What type of mental health clinician coverage does your school have?
Full Time
How many mental health clinicians are available at your school?
Three or More
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 3: Health Education Instruction page 3
Are any students required to take health education at your school?
How many health education teachers does your school currently have on staff?
Yes
Two
Does your school currently have at least one certified or highly qualified health teacher on staff?
Does one (or more) health education instructor also serve as physical education instructor?
Yes
Yes
Name of Health Ed Instructor 1:
Tracia Chalar
Health Ed Instructor 1 Phone
(202) 547-1028
Health Ed Instructor 1 E-mail
tchalar@optionsschool.org
Did this health education instructor have a concentration in health OR physical education
Yes
in college?
Please list any Health Education Certification or training received by this Health Education Instructor (i.e. Masters, CHES,
other health certifications)
Name of Health Ed Instructor 2:
Shyrone Palms
Health Ed Instructor 2 Phone
(202) 547-1028
Health Ed Instructor 2 Phone
spalms@optionsschool.org
Did this health education instructor have a concentration in health OR physical education
in college?
Yes
Please list any Health Education Certification or training received by this Health Education Instructor (i.e. Masters, CHES,
other health certifications)
For each grade in your school, please indicate the average number of minutes per week during the regular instructional
school week that students receive health education instruction.
PS
Minutes/Week
Grade 7 20
Minutes/Week
PK
Minutes/Week
Grade 8 20
Minutes/Week
K
Minutes/Week
Grade 9 20
Minutes/Week
Grade 1
Minutes/Week
Grade 10 20
Minutes/Week
Grade 2
Minutes/Week
Grade 11 20
Minutes/Week
Grade 3
Minutes/Week
Grade 12 20
Minutes/Week
Grade 4
Minutes/Week
Adult
Minutes/Week
Grade 5
Minutes/Week
Other
Minutes/Week
How is health education instruction provided (select all that apply):
Health education course
Assemblies or presentations
No health education is provided
Incorporated into another course
Other (please specify): MPD and outside vendors for assemblies and training
Is the health education instruction based on the OSSE’s health education standards?
Yes
Which health education curriculum (or curricula) is your school currently using for instruction? McDougal Littell "Perspectives on H
Does your school partner with any outside programs or organizations to satisfy the health education requirements?
Yes
If yes, what programs or organizations does your school use?
MPD; outside vendors for assemblies
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 4: Physical Education Instruction page 4
Are any students required to take physical education at your school?
How many physical education teachers does your school have on staff?
Yes
Two
Name of Phys. Ed. Instructor 1
Tracia Chalar
Phys. Ed. Instructor 1 Phone
(202) 547-1028
Phys. Ed. Instructor 1 E-mail
tchalar@optionsschool.org
Did this physical education instructor have a concentration in physical education in college?
Yes
Please list any physical education certifications or training received by this
physical education instructor.
n/a
Name of Phys. Ed. Instructor 2
Shyrone Palms
Phys. Ed. Instructor 2 Phone
(202) 547-1028
Phys. Ed. Instructor 2 E-mail
spalms@optionsschool.org
Did this physical education instructor have a concentration in physical education in college?
Yes
Please list any physical education certifications or training received by your
physical education instructor.
n/a
For each grade in your school, please indicate the average number of minutes per week during the regular instructional school week
that students receive physical education instruction.
PS
PK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
K
Grade 6 67
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Grade 7 67
Grade 8 67
Grade 9 67
Grade 10 67
Grade 11 67
Grade 12 67
Adult
Other
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
Minutes/Week
For each grade that receives physical education instruction, please indicate the average number of minutes per week during the
regular instructional school week devoted to actual physical activity within the physical education course.
PS
Minutes/Week
Grade 7 67
Minutes/Week
PK
Minutes/Week
Grade 8 67
Minutes/Week
K
Minutes/Week
Grade 9 67
Minutes/Week
Grade 1
Minutes/Week
Grade 10 67
Minutes/Week
Grade 2
Minutes/Week
Grade 11 67
Minutes/Week
Grade 3
Minutes/Week
Grade 12 67
Minutes/Week
Grade 4
Minutes/Week
Adult
Minutes/Week
Grade 5
Minutes/Week
Other
Minutes/Week
Grade 6 67
Minutes/Week
Is the physical education instruction based on the OSSE’s physical education standards?
Which physical education curriculum (or curricula) is your school currently using for instruction?
Does your school use a physical education or fitness assessment tool?
If yes, what is the name of the tool? (e.g. FitnessGrams, President’s Physical Fitness Test, etc.)
Does your school partner with any outside programs or organizations to satisfy the physical
education or physical activity requirements?*
Yes
McDougal Littell "Perspectives on
Health"
Yes
President's Physical Fitness Test
Yes
If yes, what programs or organizations does your school use?
MPD and outside vendors for assemblies and training
What strategies does your school use, during or outside of regular school hours, to promote physical activity? (select all that apply)
Active Recess
After-School Activities
None
Movement in the Classroom
Athletic Programs
Walk or Bike to School
Safe Routes to School
Other (please specify): large facility with distance betwe
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 5: Nutrition Programs page 5
Name of Food Service Vendor
Heavenly Edibles
What types of nutrition education services does your school provide? (select all that apply)
None
Vendor-provided nutrition education
Meal time presentations
Outside speakers
Other (please specify):
Multimedia
Posters
Classroom Instruction
Handouts/brochures
Please indicate the number of students that qualify for the following:
Free Meals 300 Reduced Price Meals 40 Full Price Meals 25
Does your school offer breakfast to all students?*
Yes
If yes, where is breakfast offered (select all that apply):
Classroom Cafeteria Grab and Go cart Other (please specify):
For November 2011, please indicate the average daily participation (number of students) for the following meals:
Breakfast - Free Meals 200
Breakfast - Reduced Price Meals 200
Breakfast - Full Price Meals 0
Lunch - Free Meals 365
Lunch - Reduced Price Meals 365
Lunch - Full Price Meals 0
Does your school offer lunch components that meet the Healthy Schools Act of 2010 lunch menu criteria, if so
please specify if you serve the following:
A different vegetable each day of the week?
Yes
A dark green and/or orange vegetables at least three times a week? Yes
Cooked dry beans or peas at least once a week?
Yes
A different fruit every day of the week?
Yes
Fresh fruit twice a week?
Yes
Whole grains at least once a day?
Yes
Milk each day? :
Yes
Low-fat (1%) flavored milk
Low-fat (1%) unflavored milk
Fat-free (skim) flavored milk
Fat-free (skim) unflavored milk
Soy milk
Lactose-free milk
Other (please specify):
Is water available to students during meal times?
Yes
If yes, is it available via (check all that apply):
Water fountain in the cafeteria
Water pitcher and cups
Low-fat (1%) flavored milkOther (please specify):
bottled water
Water fountain in another location
Students bring water
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 5: Nutrition Programs (Con't) page 6
Does your school participate in the Afterschool Snack Program?
No
If yes, please indicate the average daily participation for November 2011.
Does your school participate in the Afterschool Supper Program?
No
If yes, please indicate the average daily participation for November 2011.
Does your school participate in the Fresh Fruit and Vegetable Snack Program?*
Does your school participate in the DC Free Summer Meals Program?
No
If yes, please indicate the average daily participation for each of the following meals
for the summer of 2011:
Breakfast: no Lunch: no Supper: no Snack: no
Does your school serve locally grown and/or locally processed and unprocessed foods at meal times from growers engaged
in sustainable agricultural practices?
Yes
If yes, how often?
Once or twice per day
Once or twice per month
Three or four times per week
Other (please specify)
Once or twice per week
On average, how many school meals include a locally-grown produce item?*
Every day
Three or four times per week
One or two times per week
One or two times per month
Other (please specify):
On average, how many meals include a sustainably-grown produce item?*
Every day
Three or four times per week
One or two times per week
One or two times per month
Other (please specify):
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 6: Local Wellness Policy page 7
Has your LEA’s local wellness policy been submitted to OSSE for review?
Yes
Has your LEA’s local wellness policy been distributed to your school’s foodservice staff members?
Yes
Has your LEA’s local wellness policy been distributed to your school’s parent/teacher organization (PTO)?
Yes
Please indicate which of the following is covered by your LEA’s local wellness policy (check all that apply):
goals for nutrition education, physical activity, and other school-based activities
nutritional guidelines for all competitive foods served and sold on campus during the school day
guidelines for school meals, that are not less restrictive than those set at the federal level
plan for measuring implementation of the local wellness policy
goals to improve the environmental sustainability of schools
none of these is covered in our LEA’s local wellness policy
Who at your school is responsible for implementing your LEA’s local wellness policy?
all stakeholders; food vendor; health
instructors; administration and
accountability officer
Does your school have vending machines?
No
If yes, are these vending machines available only to faculty and staff members?
If yes, how many vending machines do you have:
If yes, what are the hours of operation of these vending machines?
If yes, what items are sold from these vending machines?
Does your school have a school store?
Yes
If yes, what are the hours of operation for the school store?
hours vary
If yes, what food and beverages are sold?
none
Does your school have a school wellness council?
Yes
Does your school solicit input from students, parents, staff or community members about foods
that are offered for meals or snack?
Yes
If yes, please explain how input is solicited and received.
proposed monthly menu posted in advance with
opportunity for feedback through email and website
Is your school in compliance with your LEA’s local wellness policy?
Yes
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 7: Distributing Information page 8
Where are the following items located at your school?
LEA’s Local Wellness Policy
This information is not available.
School Website
Other (please specify):
School Main Office
newsletters
School Cafeteria or Eating Areas
School Menu for Breakfast and Lunch
This information is not available.
School Website
Other (please specify):
School Main Office
School Cafeteria or Eating Areas
Nutritional Content of each Menu Item
This information is not available.
School Website
Other (please specify):
School Main Office
monthly mass email
School Cafeteria or Eating Areas
Ingredients of each Menu Item
This information is not available.
School Website
Other (please specify):
School Main Office
monthly mass email
School Cafeteria or Eating Areas
Information on where fruits and vegetables served in schools are grown and processed
This information is not available.
School Website
Other (please specify):
School Main Office
School Cafeteria or Eating Areas
Information on whether growers are engaged in sustainable agriculture practices
This information is not available.
School Website
Other (please specify):
School Main Office
School Cafeteria or Eating Areas
Are students and parents informed about the availability of vegetarian food options at your school?
Yes
If yes, where can they find this information?
School Website
Other (please specify):
Yes
School Main Office
School Cafeteria or Eating Areas
Are students and parents informed about the availability of milk alternatives, such as soy milk, lactose free milk, etc., at your
school?
no
If yes, where can they find these options?
School Website
Other (please specify):
no
School Main Office
School Cafeteria or Eating Areas
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS

Section 8: School Gardens page 9
Does your school currently have a School Garden?
Yes
Name of Garden Contact
Erin Clark
Garden Contact E-mail
ecalrk@optionsschool.org
How many students benefited from the school garden during the 2010-2011 school year?
How many students have benefited from the school garden thus far during the 2011-2012 school year?
How is your school garden used? (select all that apply)
Outdoor classroom
Summer enrichment
Afterschool club/program
Currently this garden is not used
Other (please specify):
Do students eat food from the school garden?
unknown
If yes, please describe the events and/or programs that facilitate this experience. (e.g. school lunch, snack time, incorporated into
lessons, etc.)
Please list any outside organizations that you have partnered with in developing your school garden and/or school garden
programs.
n/a
Which of the following components are included in your school garden? (select all that apply)
Raised beds for edibles
Rain garden
Garden kitchen (outdoor or access to indoor)
Meeting space for a full class
Fruit tree(s)
Other (please specify):
In-ground edibles
Community garden plots
Greenhouse
Butterfly/Pollinator Garden
Native plants
Compost bin/pile
Tool shed
Rain Barrel(s)
Has your school participated in any of the following farm-food education in the past year? (select all that apply)
Our school did not participate in farm-food education
Our school did not participate, but would like more information on farm-food education
Farm field trips
Participation in DC Farm to School Week
Chef demonstrations
Participation in DC School Garden Week
Other (please specify):
Section 9: Posting and Form Availability to Parents
According to section 602(c) of the Healthy School Act of 2010, “each public school and public charter school shall post the
information required by subsection (a) online if the school has a website and make the form available to parents in its office”.
How will you make this information available to parents?
Online
Copies Available at Main Office
Other (please specify):
Is your school sharing information about the Healthy Schools Act in any other ways?
If yes, please explain.
Submitted Date :
2/15/2012 6:03:00 P
Submitter's Name :
Steven Hook
DC Office of the State Superintendent of Education
810 First Street, NE, 4th Floor Washington, DC 20002
Options Options: Options PCS